Schizophrenia and other Psychotic Disorders



The term psychotic has historically received a number of different definitions, none of which has achieved universal acceptance. The narrowest definition of psychotic is restricted to delusions or prominent hallucinations, with the hallucinations occurring in the absence of insight into their pathological nature. A slightly less restrictive definition would also include prominent hallucinations that the individual realizes are hallucinatory experiences. Broader still is a definition that also includes other positive symptoms of schizophrenia (i.e., disorganized speech, grossly disorganized or catatonic behavior). (p. 273)

Schizophrenia is a disturbance that lasts for at least 6 months and includes at least 1 month of active-phase symptoms (i.e., two [or more] of the following delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms). Definitions for the Schizophrenia subtypes (Paranoid, Disorganized, Catatonic Undifferentiated, and Residual) are also included in this section.

Schizophreniform Disorderis characterized by a symptomatic presentation that is equivalent to Schizophrenia except for its duration (i.e., the disturbance lasts from 1 to 6 months) and the absence of a requirement that there is a decline in functioning.

Schizoaffective Disorder is a disturbance in which a mood episode and the active-phase symptoms of Schizophrenia occur together and were preceded or are following by at least 2 weeks of delusions or hallucinations without prominent mood symptoms.

Delusional Disorder is characterized by at least 1 month of nonbizarre delusions without other active-phase symptoms of Schizophrenia.

Brief Psychotic Disorder is a psychotic disturbance that lasts more than 1 day and remits by 1 month.

Shared Psychotic Disorder is a disturbance that develops in an individual who is influenced by someone else who has an established delusion with similar content.

In Psychotic Disorder Due to a General Medical Condition, the psychotic symptoms are judged to be a direct physiological consequence of a general medical condition.

In Substance Induced Psychotic Disorder, the psychotic symptoms are judged to be a direct physiological consequence of a drug of abuse, a medication, or toxin exposure.

Psychotic Disorder Not Otherwise Specified is included for classifying psychotic presentations that do not meet the criteria for any of the specific Psychotic Disorders defined in this section or psychotic symptomatology about which there is inadequate or contradictory information. (p. 273-4)



(1994) American Psychiatric Association: Diagnostic And Statistical Manual of Mental Disorders, Fourth Edition, Washington, DC, American Psychiatric Association




Links to Schizophrenia and other Psychotic Disorders websites:
  • A Review of Schizophrenia
  • The Abnormal Schizophrenic Brain
  • Adjunctive Treatments in Schizophrenia: Pharmacotherapies and Electroconvulsive Therapy
  • All About Schizophrenia - Mental Health Net
  • alt.support.schizophrenia
  • Altered Neural Circuits in Schizophrenia
  • At Risk for Psychosis
  • Blood Mismatch May Cause Schizophrenia
  • Brain Anatomy and Schizophrenia: New Data
  • British Columbia Schizophrenia Society - Victoria Branch
  • C-Sections Urged For Schizophrenia-Prone Mothers
  • Case History: Reducing Depot Treatment
  • Catherine's Depression and Mental Health Homepage
  • Clozapine Comes With Money-back Offer
  • Clozapine: Efficacy and Safety
  • Cognitive Loss in Schizophrenia
  • Conventional Antipsychotic Medications for Schizophrenia
  • Coping with Schizophrenia
  • Cost of Relapse in Schizophrenia
  • Deinstitutionalization: What Will It Really Cost?
  • Diagnosis
  • Doctor's Guide to Schizophrenia Information & Resources/
  • Drug Can Reduce Cost of Treating Schizophrenia by $8,000 a Year
  • Drug Makers Go Head to Head Over Best Schizophrenia Treatment
  • Earlier Detection and Intervention in Schizophrenia
  • Early Detection & Intervention for Initial Episodes of Schizophrenia
  • Early Intervention Key in Psychosis Program
  • Excerpts From "Surviving Schizophrenia"
  • The Experience of Schizophrenia
  • Facts for Families
  • Families in the Treatment of Schizophrenia
  • Family Interventions for Schizophrenia
  • Friends
  • Futurcom in Psychiatry
  • High Price of Hunger
  • How Much Does Insight Matter?
  • Hurt Brains and Schizophrenia
  • An Innovative Approach to Vocational Rehabilitation
  • Insight from a Schizophrenia Patient with Depression
  • Is Schizophrenia New in the World?
  • Internet Mental Health: Schizophrenia
  • Lack of Support for Relatives
  • Learning How to Work
  • Living with Schizophrenia
  • Long-Acting Depot Neuroleptics
  • Low-dose Strategy Can Benefit Schizophrenics
  • Managing Schizophrenia
  • MEDLINE Plus - Schizophrenia
  • Mental Health Clinical Research Center, University of Iowa (Iowa MH-CRC)
  • Mental Health Articles - Schizophrenia
  • Mentalwellness.com
  • Mysteries of Tardive Dyskinesia
  • NAMI/NYC
  • National Alliance for Research on Schizophrenia and Depression (NARSAD)
  • National Institute of Mental Health
  • National Schizophrenia Fellowship
  • Nervous System Disease and Mental Health Resources
  • New Clinician/Patient Tools being Developed for Prospective Monitoring
  • Newsgroup:alt.support.schizophrenia
  • The New Pharmacology of Schizophrenia
  • New Schizophrenia Drug OK'd
  • The Outcome of Schizophrenia
  • Paranoid Conditions: A Guide for Families
  • Poor Treatment = Increased Criminality
  • Positive and Negative Symptoms: A Follow-Up
  • The Prodromal Phase of First-episode Psychosis
  • Psychological Interventions for Schizophrenia
  • Rh and Schizophrenia
  • Risk Factors for Schizophrenia
  • Risk Factors of Psychosis
  • Risperdal® Oral Formulation New Treatment Option
  • Risperidone (RISPERDAL) Patient/Family Information
  • Risperidone (RISPERDAL): Schizophrenia Management Plan
  • Risperidone: Efficacy and Safety
  • The Royal College of Psychiatrists 'Help is at Hand' Leaflet Series
  • Schizoaffective Disorder
  • Schizoaffective Disorder
  • The Schizophrenia Homepage
  • The Schizophrenia Homepage
  • Support for carers
  • Schizophrenia: A Handbook For Families
  • Schizophrenia Society of Canada
  • Schizophrenia Australia
  • Schizophrenia-University of Groningen Research Project
  • Schizophrenics Anonymous
  • Schizophrenia Society of Ontario
  • The Schizophrenia Home Page
  • Schizophrenia Fellowship of NSW, Inc.
  • Schizophrenia Support Organizations
  • Schizophrenia Digest
  • SCHIZOPHRENIA - Open the Doors
  • Schizophrenia
  • Schizophrenia
  • Schizophrenia and Homelessness
  • Schizophrenia and the Hunger Winter
  • Schizophrenia and the Sexes
  • Schizophrenia, Male and Female
  • Schizophrenia: A Handbook For Families
  • Schizophrenia: Courses and Outcome
  • Schizophrenia: Early Signs
  • Schizophrenia: Early Warning
  • Schizophrenia: Hidden Torment
  • Schizophrenia: Questions And Answers
  • Schizophrenia: Rehabilitation
  • Schizophrenia: Returning Home
  • Schizophrenia: Symptoms and Management at Home
  • Schizophrenia: The Medications
  • Schizophrenia: Understanding The Disease
  • Schizophrenia: Youth's Greatest Disabler
  • Schizophrenic Women and Men
  • Smoking and Schizophrenic Patients
  • Study Sheds Light on Why Thoughts Go Awry in Schizophrenia
  • Time Trends in Schizophrenia
  • Treatment
  • Treatment of Schizophrenia 1999
  • Two Roads to Schizophrenia
  • Understanding & Responding to Symptoms of Schizophrenia
  • Understanding Schizophrenia: A Guide for People with Schizophrenia and Their Families
  • VA-Yale Schizophrenia Biological Research Center
  • Vitamin E in Tardive Dyskinesia
  • Vocational Rehabilitation in Schizophrenia
  • Watching Where the Money Goes
  • What is Schizophrenia?
  • You Have Been Asking About ... Risperidone
  • Young Adults Experiencing Psychosis Remain Undiagnosed
    
    

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    ** Please use caution when reading any of the disorders listed above.
    Do not panic because you find a couple of symptoms that match a specific personality disorder.
    We all have symptoms that can apply to one or another disorder
    but what makes it a disorder is a "pervasive pattern"
    and that is how the psychiatrists and psychologists
    determine if it is a specific disorder.**
    
    
    
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